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Form 11: A-102 <br /> Revised: 03/93 COUNTY OF HAWAII <br /> REQUEST TO TRANSFER FUNDS <br /> DEPARTMENT: PA6[S 6 RSCESATION _ DIVISION: Coi'I Course <br /> CONTACT: Pas MSzuno PHONE: 961-8419 DATE: 7 ~ 37 ~ 98 <br /> FISCAL PERIOD: July 1, 19 9Z to June 30, 19 _98 <br /> FROM: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 090-801-s802.94-341 Fringe Reimb, FICA Faployer share, 2s8.00 <br /> Miac Charges <br /> TOTAL:$ 258'00 <br /> TO: ACCOUNT NUMBER ACCOUNT TITLE AMOUNT <br /> 0-801-SS02.98-341 Frin a Reiteb, loyee Health Places. 258.00 <br /> 09 g ~P <br /> ?list Charges <br /> as8.oo <br /> TOTAL:$ <br /> EXPLANATION Provide tom lets ex lanation. <br /> P P 1 <br /> Transfer to cover shortage to reitsburse Goneral Fund for Golf Courpsetaployee <br /> <br /> it health plan benefibs The funds available in the PICA reiabureement account <br /> is being used to fund this transfer. <br /> SUBMITTED BY: _ Ti DATE: / / <br /> Department Head <br /> ff4flfffRlRlf#ffh4f11RR1f##ff4f1ff11R1f#f##flffffflfffifRf##Rf#flfflffffflfflffRllfRRf##kf#4fff##ifffffYff#lflffflflff R11ff1f RR11f <br /> ACTION: ~ Recommend Approval Recommend Deferral Recommend Denial <br /> SIGNED: DATE: I-~/~ <br /> -.i Director of ~ ,ante <br /> i <br /> - Approved Deferred Denied <br /> SIGNED: DATE: / <br /> Mayor <br /> ~ Transfer No. 2 2 9 <br /> 06193-3M <br /> CONTROLLER <br /> <br />